Biomechanical evaluation and intervention is regularly incorporated into the management of musculoskeletal conditions. Alterations in kinetic and kinematic factors can be identified and addressing such factors can improve pain and function.
Greater magnitude and velocity of navicular drop has been associated with Medial Tibial Stress Syndrome. Hip adduction and internal rotation is predictive of pain severity in Patellofemoral Pain Syndrome.
Similarly, those with poor outcomes post injury or surgery may demonstrate altered mechanics when compared with those with good outcomes or with the uninvolved limb. Those with patella tendinopathy reduce motion at the knee but exhibit increases at the hip during hopping activities. Following ACL repair, those with poorer outcomes similarly demonstrate meaningful assymmetries at the hip. Other factors such as fatigue can result in considerable changes even within a single event. Runners pre and post half marathon demonstrated a bilateral increase in navicular drop of 5mm and hamstring injuries often occur late in matches suggesting that fatigue may play a role….